AMBER LYNN PEDERSON (CRNA) – Certified Registered Nurse Anesthetist, NPI 1851549679

AMBER LYNN PEDERSON (CRNA) is a healthcare provider. based in Pendleton, Oregon. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. R1724725 (MN). The NPI Number for AMBER LYNN PEDERSON (CRNA) is 1851549679

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
AMBER LYNN PEDERSON (CRNA)
NPI
1851549679
Phone
(541) 276-5121
Address
2801 ST ANTHONY WAY
Enumeration Date
4 September 2008
Last Update Date
13 October 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5412785121
Graduation Year
2008 (18 years ago)
PAC ID
2860554680
Group Practice PAC ID
3678568268
Professional Enrollment ID
I20140423002530
Address ID
OR978013800PE2801XWAYX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

512 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in OR

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Provider Addresses for AMBER LYNN PEDERSON (CRNA)

  • CHI Saint Anthony Hospital, 2801, Saint Anthony Way, Glendale, Pendleton, Umatilla County, Oregon, 97801, United States

    PENDLETON, OR 978013800

    Phone: (541) 276-5121

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-04-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140423002530ICertified Registered Nurse Anesthetist (Crna)ORTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97801)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3678568268View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YMI
-WA
Family PracticeME
Cardiovascular Disease (Cardiology)WA
-AZ
Neurology, Sleep MedicineWA
Internal MedicineOR
Emergency Medicine, Family PracticeOR
O B S T E T R I C S/ G Y N E C O L O G YOR
General SurgeryOH

Reviews

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Frequently asked questions

What unique ID ties claims to AMBER LYNN PEDERSON (CRNA)?
NPI 1851549679 is assigned to AMBER LYNN PEDERSON (CRNA) under the national enumeration system.
Is AMBER LYNN PEDERSON (CRNA) active in the national directory?
AMBER LYNN PEDERSON (CRNA)'s public NPI profile is in an active state.
Does AMBER LYNN PEDERSON (CRNA) list a primary specialty?
If you are matching referrals, note Certified Registered Nurse Anesthetist for AMBER LYNN PEDERSON (CRNA). Clinical services aligned with this taxonomy classification.
Where does public data place AMBER LYNN PEDERSON (CRNA)?
The snapshot lists Pendleton, Oregon for AMBER LYNN PEDERSON (CRNA); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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NPI: 1467921429